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General NPI Number Information
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NPI Number | 1285153882
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Entity Type | Organization
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Legal Business Name | FLINDERS PHYSICIANS GROUP INC
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Dates
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Enumeration Date | 09/14/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 319 N BROADWAY APT 215
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City | REDONDO BEACH
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State | CA
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Zip | 90277-2850
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Country | US
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Telephone | 310-408-7096
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Fax |
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Provider Business Mailing Address
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Address Line | 319 N BROADWAY APT 108
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City | REDONDO BEACH
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State | CA
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Zip | 90277-2850
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Country | US
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Telephone | 310-408-7096
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. MICHAEL AZARKH
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Credential | MD
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Telephone | 310-408-7096
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | A116986
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License Number State | CA
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